Laparoscopic-induced pneumocephalus in a patient with a ventriculoperitoneal shunt.

The authors report the case of laparoscopic-induced pneumocephalus in a ventriculoperitoneal shunt (VPS) patient undergoing a transperitoneal laparoscopic procedure. This case represents the first instance, to our knowledge, of forced retrograde air through a Holter valve placed 20 years ago. Abdominal laparoscopic surgery is a minimally invasive procedure utilized for a wide spectrum of abdominal and pelvic disorders. VPS systems for cerebrospinal fluid diversion are used to treat hydrocephalus. We present a case of laparoscopic-induced pneumocephalus in a VPS patient undergoing a transperitoneal laparoscopic procedure.